Personal Protection Assessment - Plan - Action

 

The Personal Protection Strategy Model for Infection Prevention & Control

The PPS model is designed to be an effective educational tool to assist police, fire, paramedics and justice service workers in protecting themselves from communicable disease that may exist in their shared client base and overlapping work environments. The PPS model is an interactive, fluid and dynamic system to enable ESWs and JSWs to conceptualize protective strategies they can adopt while engaging their work environments to include IPAC. Consistent use of the PPS is the most important step ESWs and JSWs can take to protect themselves, their families, friends, co-workers and communities from communicable disease.

This section serves as an introduction to the PPS model. For more information, resources and teaching tools related to the PPS, please click on the Resources section of the webpage. Available to Members Only.

Personal Protection Strategy - Assessment

Assessing the IPAC Situation

Whether dealing with a victim, suspect, witness, complainant, patient, inmate or resident, Emergency Service Workers (ESWs) and Justice Service Workers (JSWs) are urged to perform situational risk assessments for IPAC in order to assist them with creating a strategy of protection from communicable disease.

Situations may change several times before the incident is completed, and each change requires a new and appropriate strategic response to protect both the ESW/JSW and the client from exposure to communicable disease. The Personal Protection Strategy is an ongoing process that has the worker establish a continual flow from Assessment to Planning to Action and back to Assessment, where the process may start again.

Risk from communicable disease may be present in the work environment even without the presence of another person. The ESW/JSW is encouraged to go about their work environments considering all IPAC risks. All high-touch surfaces and items such as sharps or previously used equipment can serve as a reservoir for communicable disease without another person being there.

The demeanour of the client also requires assessment. The ESW/JSW must evaluate the client not only for signs and symptoms of injury and illness, but also whether or not the client is behaving in a co-operative or non-co-operative manner, all of which will impact the IPAC risk to the worker.

Assessment of the situation should start as soon as information is given via 911 dispatch and through both the everyday and emergency internal communications at the Correctional or Youth Centre.

For more information, resources and teaching tools related to the PPS, please click on the Resources section of the webpage. Available to Members Only.

Personal Protection Strategy - Plan

Creating a Plan

The cyclical centre of the Personal Protection Strategy is representative of the fluidity of the situational assessment. ESWs and JSWs are reminded to focus on the situation with the intention of first assessing, then creating a plan from the assessment. Their plan will include the actionable steps from the model.

Planning for IPAC must occur before ESWs and JSWs are exposed to any risks that are inherent in their day-to-day roles. Planning begins with a foundation of protection through immunization and hand hygiene, ensuring that appropriate PPE is accessible, available, and ready for use and that workers are educated and trained in the skills required to assess and mitigate IPAC risks.

For more information, resources and teaching tools related to the PPS, please click on the Resources section of the webpage. Available to Members Only.

Personal Protection Strategy - Action

Acting on the Plan

After assessing the situation, the ESW/JSW will be able to select the most appropriate actionable steps to protect themselves from exposure to communicable disease. The strategic action phase is both linear and fluid, allowing the ESW/JSW to move “up” and “down” the steps as required to maximize their self-protection.

Actionable Steps:

Personal Protective Equipment (PPE)

  • PPE is chosen and worn based on the potential or actual IPAC threat identified through the situational assessment.
  • PPE is useless unless it is available, easily accessible and worn properly.
  • Each emergency and justice service is responsible for providing their workers with effective PPE for their duties, roles and functions.
Location, Duration, Proximity & Interaction (LDPI)

The effective management of LDPI is an important principle in IPAC. In some instances when there is discretionary time, the ESW/JSW will have more capacity to manipulate the LDPI than in those involving non-discretionary time.

ESWs and JSWs should always be aware of the LDPI in their everyday work environments and their power to manipulate it to their advantage in creating and promoting a safe work environment whenever possible.

Cleaning & Disinfection

Cleaning and disinfection is the process of cleaning any visible dirt and/or soiling off of reusable equipment, and then disinfecting the equipment to render it safe for further use. Cleaning must be performed consistently and well in order to ensure disinfection can take place.

Each ESW/JSW should check the policies and procedures of their organization and manufacturers’ instructions to ensure they are using the supplied cleaner/disinfectant properly.

For more information, resources and teaching tools related to the PPS, please click on the Resources section of the webpage. Available to Members Only.